Billing code 64473: Fascial plane blockMedicare rate & RVUs in Ohio
Reports a one-time unilateral anesthetic injection into a lower-extremity fascial plane for regional analgesia, including imaging guidance when performed.
Medicare pays $127.08 for 64473 in the office in Ohio (Ohio). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 64473 covers
This service covers a one-time injection of anesthetic medication, with or without steroid, into a fascial plane in the lower extremity to provide regional pain relief. Anesthesiologists, pain physicians, and other clinicians performing regional blocks may use it for perioperative analgesia or acute pain, such as pain associated with a hip fracture. Imaging guidance, when performed, is included in the block service.
Report 64473 for a unilateral, single-injection block; use the documented body site, side, medication, and technique to support the service. A catheter-based continuous infusion is a different service, not another unit of this injection code. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. For bilateral performance, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
64473 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $127.08 | $54.20 |
How the 64473 rate is calculated
Each of 64473’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 64473
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.31Practice expense 2.60Malpractice 0.12
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 64473
The CMS indicators that decide how 64473 is paid alongside other services.
CMS payment indicators · 64473
Fascial plane block
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
64473 without 50 · national office
$134.61
Fascial plane block
64473-50 · Bilateral: 150%
$201.92
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
64473 compared with similar codes
Compare codes
64473 vs 64474 vs 64466 vs 64468 vs 64486: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 64474Fascial plane block
- Choose 64473 for a single injection into a lower-extremity fascial plane; 64474 describes continuous catheter infusion.
- 64466Thoracic block
- Both describe unilateral fascial plane blocks by injection, but 64466 is for the thoracic region and 64473 for the lower extremity.
- 64468Thoracic block
- Code 64468 describes a bilateral thoracic fascial plane injection. Code 64473 is the lower-extremity unilateral injection service.
- 64486TAP block
- Code 64486 is a unilateral TAP block by injection for the abdominal region; 64473 is for a lower-extremity fascial plane.
64473 billing questions
When should 64473 be chosen over 64474?
Use 64473 for a one-time unilateral injection. Code 64474 describes a unilateral lower-extremity fascial plane block delivered by continuous infusion through a catheter.
Can imaging guidance be billed separately?
Imaging guidance, when performed for this block, is included in the service represented by 64473.
How is bilateral treatment reported?
CMS recognizes modifier 50 for bilateral performance and pays the procedure at 150%. Document the treated sides.
What documentation supports this code?
Document the lower-extremity site and side, the fascial plane and injection technique, the medication administered, and the clinical reason for the block.
Are same-day care and other procedures included?
The 0-day global period includes same-day preoperative and postoperative care. When other procedures are performed in the same session, CMS applies its standard multiple procedure reduction.
Can an assistant or co-surgeon be paid for this service?
CMS restricts assistant-at-surgery payment for 64473 and does not permit co-surgeon or team-surgery payment.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 64473 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →